NPIMap

Individual provider Active NPI

Zachariah Jon Jensen, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boise, ID
National Provider Identifier
1184128175
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
12884 Issued in SD
Practice address
711 N Curtis Rd
Boise, ID 83706-1445
Phone
(208) 605-3000
NPI assigned
Mar 22, 2018
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12884 SD
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 174114 MT
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 0102205792 VA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 12884 SD Primary
Physical Medicine & Rehabilitation Physician 208100000X O-1779 ID

Addresses

Primary practice location

711 N Curtis Rd
Boise, ID 83706-1445

Mailing address

PO Box 8111
Boise, ID 83707-2111

Other practice location 1

245 Windward Way Ste 101
Kalispell, MT 59901-3385
Phone (406) 756-8488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, NV, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230306000356 ID Practitioner - Physical Medicine and Rehabilitation 9234534322 Reassigns benefits to 2 organizations
I20240603000717 NV Practitioner - Family PracticePractitioner - Physical Medicine and Rehabilitation 9234534322 Reassigns benefits to 1 organization
I20241002000693 VA Practitioner - Family PracticePractitioner - Hospitalist 9234534322

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Liberty Univ College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 N Curtis Rd
Boise, ID 83706-1445
Phone (208) 605-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1779IDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Wellness PLLC CurrentSince Jun 13, 2024 Accepting new patients
Jensen Wellness Physical Medicine & Rehabilitation CurrentSince Jan 15, 2023 Accepting new patients
Beyond Wellness PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

711 N Curtis Rd
Boise, ID 83706
Phone (208) 605-3000

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

5580 W Flamingo Rd
Ste 106
Las Vegas, NV 89103
Phone (702) 854-3160

Interoperability endpoints

  • Direct secure messaging: zachariah.jensen.1@31994.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1184128175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8111",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837072111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061445",
            "telephone_number": "208-605-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Windward Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013385",
            "country_code": "US",
            "telephone_number": "406-756-8488",
            "fax_number": "406-758-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ZACHARIAH",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "12884",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MT",
            "license": "174114",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "VA",
            "license": "0102205792",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "SD",
            "license": "12884",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "O-1779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "245 Windward Way Ste 101",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.